Beneficiary Reported Experience and Voluntary Disenrollment in Medicare Managed Care

Health Care Financing Review

Volumn 25, Issue 1, 2003, Pages 55-66

  Lied, Terry R ^a,c   Sheingold, Steven H ^a   Landon, Bruce E ^b   Shaul, James A ^b   Cleary, Paul D ^b  

^a The Centers for Medicare Medicaid Services (CMS)   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

^c Center for Medicare and Medicaid Services   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EXPERIENCE; HEALTH CARE PLANNING; HEALTH CARE QUALITY; HEALTH CARE UTILIZATION; HUMAN; MANAGED CARE; MEDICARE; OUTCOMES RESEARCH; PATIENT SATISFACTION; PERFORMANCE; REVIEW;

CHOICE BEHAVIOR; CONSUMER SATISFACTION; HEALTH SERVICES RESEARCH; HUMANS; MANAGED CARE PROGRAMS; MEDICARE PART C; UNITED STATES; UNITED STATES CENTERS FOR MEDICARE AND MEDICAID SERVICES;

EID: 1642494852     PISSN: 01958631     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (18)

1. Consumer Assessment of Health Plans Study: Internet address: www.ncbd.cahps.org. (Accessed 2003.)
2. Centers for Medicare & Medicaid Services: Medicare Managed Care Contract Plans Monthly Summary Report. Internet address: http://www.cms. gov/healthplans/statistics/mmcc/. (Accessed 2003.)
3. Cox, D., Lanyi, B., and Strabic, A.: Medicare HMO Benefits Packages and Plan Performance Measures. Health Care Financing Review 24(1):133-144, Fall 2002.
4. Goldstein, E., Cleary, P.D., Langwell, K.M., et al.: Medicare Managed Care CAHPS®: A Tool for Performance Measurement. Health Care Financing Review 22(3):86-100, Spring 2001.
5. Harris-Kojetin, L., Bender, R., Booske, B., et al.: Medicare CAHPS® 2000 Voluntary Disenrollment Reasons Survey: Findings from an Analysis of Key Beneficiary Subgroups. Report to the Centers for Medicare & Medicaid Services. RTI International. Research Triangle Park, NC. August 2002.
6. Hirschman, A.O.: Exit, Voice, and Loyalty. Harvard University Press. Cambridge, MA. 1970.
7. InterStudy: InterStudy Competitive Edge Database 8.2. InterStudy Publications. St. Paul, MN. 1998.
8. Landon, B.E., Zaslavsky, A.M., Beaulieu, N.D., et al.: Health Plan Characteristics and Consumers' Assessments of Quality. Health Affairs 20(2):274-286, March/April 2001.
9. Lied, T.R., Malsbary, R., and Ranck, J.: Combining HEDIS® Indicators: A New Approach to Measuring Plan Performance. Health Care Financing Review 23(4):117-129, Summer 2002.
10. Medicare Health Outcomes Survey: Internet address: www.cms.hhs.gov/surveys/hos. (Accessed 2003.)
11. National Committee for Quality Assurance: Internet address: http://www.ncqa.org/. (Accessed 2003.)
12. Medicare Current Beneficiary Survey: Internet address: www.cms.hhs.gov/MCBS/default.asp. (Accessed 2003.)
13. Riley, G.F., Ingber, M.J., and Tudor, C.G.: Disenrollment of Medicare Beneficiaries from HMOs. Health Affairs 16(5):117-124, September/ October 1997.
14. Rossiter, L.F., Langwell, K.M., and, Rivnyak, T.T.: Patient Satisfaction among Elderly Enrollees and Disenrollees in Medicare Health Maintenance Organizations. Results from the National Medicare Competition Evaluation. Journal of the American Medical Association 262 (1):57-63, July 1989.
15. Schneider, E.C., Zaslavsky, A.M., Landon, B.E., et al.: National Quality Monitoring of Medicare Health Plans: The Relationship Between Enrollees' Reports and the Quality of Clinical Care. Medical Care 39(12):1313-1325, December 2001.
16. U.S. Bureau of the Census: U.S. Census Bureau Data. 1990. Internet address: www.census.gov/acsd/ www/sub_d.htm. (Accessed 2003.)
17. Zaslavsky, A.M., Beaulieu, N.D., Landon, B.E., and Cleary, P.D.: Dimensions of Consumer-Assessed Quality of Medicare Managed-Care Health Plans. Medical Care 38(2):162-74, February 2000.
18. Zaslavsky, A.M., Shaul, J.A., Zaborski, L.B., et al.: Combining Health Plan Performance Indicators into Simpler Composite Measures. Health Care Financing Review 23(4):101-115, Summer 2002.